Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care

Objective: The study was aimed at evaluating the validity and feasibility of SPES-3 (Sprachentwicklungsscreening), a language screening in 3-year-old children within the constraints of regular preventive medical check-ups.Methods: A four-component screening measure including parental reports on the...

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Autores principales:	Daniel Holzinger, Christoph Weber, William Barbaresi, Christoph Beitel, Johannes Fellinger
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	pediatric feasibility validity pre-school age language disorder language-delayed children Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/73d96ead89bc41b2b21c9a471020e634
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spelling	oai:doaj.org-article:73d96ead89bc41b2b21c9a471020e6342021-11-30T13:38:43ZLanguage Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care2296-236010.3389/fped.2021.752141https://doaj.org/article/73d96ead89bc41b2b21c9a471020e6342021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.752141/fullhttps://doaj.org/toc/2296-2360Objective: The study was aimed at evaluating the validity and feasibility of SPES-3 (Sprachentwicklungsscreening), a language screening in 3-year-old children within the constraints of regular preventive medical check-ups.Methods: A four-component screening measure including parental reports on the child's expressive vocabulary and grammar based on the MacArthur Communicative Development Inventory and pediatrician-administered standardized assessments of noun plurals and sentence comprehension was used in a sample of 2,044 consecutively seen children in 30 pediatric offices. One-hundred forty-four children (70 who failed and 74 who passed the screener) comprised the validation sample and also underwent follow-up gold standard assessment. To avoid verification and spectrum bias multiple imputation of missing diagnosis for children who did not undergo gold standard assessment was used. Independent diagnoses by two experts blinded to the screening results were considered gold standard for diagnosing language disorder. Screening accuracy of each of the four subscales was analyzed using receiver operator characteristic (ROC) curves. Feasibility was assessed by use of a questionnaire completed by the pediatricians.Results: The two parental screening subscales demonstrated excellent accuracy with area under the curve (AUC) scores of 0.910 and 0.908 whereas AUC scores were significantly lower for the subscales directly administered by the pediatricians (0.816 and 0.705). A composite score based on both parental screening scales (AUC = 0.946) outperformed single subscales. A cut off of 41.69 on a T-scale resulted in about 20% positive screens and showed good sensitivity (0.878) and specificity (0.876). Practicability, acceptability and sustainability of the screening measure were mostly rated as high.Conclusion: The parent-reported subscales of the SPES-3 language screener are a promising screening tool for use in primary pediatric care settings.Daniel HolzingerDaniel HolzingerDaniel HolzingerChristoph WeberChristoph WeberWilliam BarbaresiWilliam BarbaresiChristoph BeitelJohannes FellingerJohannes FellingerJohannes FellingerFrontiers Media S.A.articlepediatricfeasibilityvaliditypre-school agelanguage disorderlanguage-delayed childrenPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric feasibility validity pre-school age language disorder language-delayed children Pediatrics RJ1-570
spellingShingle	pediatric feasibility validity pre-school age language disorder language-delayed children Pediatrics RJ1-570 Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber William Barbaresi William Barbaresi Christoph Beitel Johannes Fellinger Johannes Fellinger Johannes Fellinger Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
description	Objective: The study was aimed at evaluating the validity and feasibility of SPES-3 (Sprachentwicklungsscreening), a language screening in 3-year-old children within the constraints of regular preventive medical check-ups.Methods: A four-component screening measure including parental reports on the child's expressive vocabulary and grammar based on the MacArthur Communicative Development Inventory and pediatrician-administered standardized assessments of noun plurals and sentence comprehension was used in a sample of 2,044 consecutively seen children in 30 pediatric offices. One-hundred forty-four children (70 who failed and 74 who passed the screener) comprised the validation sample and also underwent follow-up gold standard assessment. To avoid verification and spectrum bias multiple imputation of missing diagnosis for children who did not undergo gold standard assessment was used. Independent diagnoses by two experts blinded to the screening results were considered gold standard for diagnosing language disorder. Screening accuracy of each of the four subscales was analyzed using receiver operator characteristic (ROC) curves. Feasibility was assessed by use of a questionnaire completed by the pediatricians.Results: The two parental screening subscales demonstrated excellent accuracy with area under the curve (AUC) scores of 0.910 and 0.908 whereas AUC scores were significantly lower for the subscales directly administered by the pediatricians (0.816 and 0.705). A composite score based on both parental screening scales (AUC = 0.946) outperformed single subscales. A cut off of 41.69 on a T-scale resulted in about 20% positive screens and showed good sensitivity (0.878) and specificity (0.876). Practicability, acceptability and sustainability of the screening measure were mostly rated as high.Conclusion: The parent-reported subscales of the SPES-3 language screener are a promising screening tool for use in primary pediatric care settings.
format	article
author	Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber William Barbaresi William Barbaresi Christoph Beitel Johannes Fellinger Johannes Fellinger Johannes Fellinger
author_facet	Daniel Holzinger Daniel Holzinger Daniel Holzinger Christoph Weber Christoph Weber William Barbaresi William Barbaresi Christoph Beitel Johannes Fellinger Johannes Fellinger Johannes Fellinger
author_sort	Daniel Holzinger
title	Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
title_short	Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
title_full	Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
title_fullStr	Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
title_full_unstemmed	Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care
title_sort	language screening in 3-year-olds: development and validation of a feasible and effective instrument for pediatric primary care
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/73d96ead89bc41b2b21c9a471020e634
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Language Screening in 3-Year-Olds: Development and Validation of a Feasible and Effective Instrument for Pediatric Primary Care

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